241956 Using the RE-AIM framework to evaluate the statewide dissemination of a school-based nutrition curriculum: “Shaping Up My Choices"

Wednesday, November 2, 2011: 12:30 PM

Genevieve Fridlund Dunton, PhD, MPH , Preventive Medicine, University of Southern California, Alhambra, CA
Yue Liao, MPH , Department of Preventive Medicine, University of Southern California, Los Angeles, CA
Rachel Ann Grana, PhD, MPH , Center for Tobacco Control Research & Education, University of California, San Francisco, San Francisco, CA
Renee Lagloire, MA , Harder + Company, Community Research, Los Angeles, CA
Trina Robertson, MS , Dairy Council of California, Irvine, CA
INTRODUCTION: School-based nutrition education programs have demonstrated modest levels of effectiveness. However, past studies typically do not consider the overall public health impact of the interventions. The current study used a well-known evaluation framework (RE-AIM) to evaluate the Reach, Efficacy, Adoption, Implementation, and Maintenance of the “Shaping Up My Choices” (SMC) program, a school-based nutrition curriculum. METHODS: California public elementary schools (N = 860 third grade students, N = 50 classrooms) participated in a randomized-controlled evaluation for a statewide dissemination trial of the curriculum. The program consisted of 10 nutrition lessons delivered by classroom teachers. A teacher guide, student workbook, and family homework were distributed to each teacher. Evaluation data were collected from program records, teacher surveys, and student pre- and post-surveys. RESULTS: (Reach) The SMC program reached 163,117 third grade students in California during 2010-2011. (Efficacy) The consumption of sweet rolls, candy, and total extra food decreased to a greater extent in the intervention versus the control group (p's < .01). Vegetable intake was maintained in the intervention group but decreased in the control group (p < .05). (Adoption) Thirty-five percent of 3rd grade classrooms in California public schools ordered the program materials. (Implementation) 100% percent of intervention teachers implemented all of the lessons. (Maintenance) 86% of the California 3rd grade teachers who delivered the program during 2010-2011 had delivered it in previous years. DISCUSSION: This RE-AIM analysis of the SMC program demonstrates the potential for moderate to high public health impact among California 3rd grade public school students.

Learning Areas:
Administer health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related education
Social and behavioral sciences

Learning Objectives:
1. List the components of the RE-AIM dissemination evaluation framework and provide examples of criteria to assess these components. 2. Discuss how the RE-AIM framework can be used to evaluate the overall public health impact of school-based nutrition education programs.

Keywords: Nutrition, School Health

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: Genevieve Dunton, Ph.D, MPH is an Assistant Professor of Research in the Department of Preventive Medicine at the University of Southern California. She earned a doctorate in Health Psychology from the University of California, Irvine and a Master of Public Health from the University of Southern California. Dr. Dunton received post-doctoral training in physical activity, nutrition, and cancer prevention from the Cancer Prevention Fellowship Program at the National Cancer Institute, where she worked in the Health Promotion Research Branch. The objectives of her research are to understand the etiology of health behaviors related to cancer risk in children and adults, with particular focus on physical activity and nutrition. This work is guided by a social-ecological perspective of behavior change, which takes into account the interplay between environmental, social, and individual variables. Her research considers how policy, community, neighborhood, and school contexts can influence physical activity and diet either independently or through their impact on more proximal social and psychological factors. Dr. Dunton uses real-time data capture strategies such as Ecological Momentary Assessment (EMA) and Ecological Momentary Intervention (EMI) to investigate and influence activity and healthy eating. Mobile phones or PDA devices provide feedback or elicit responses through electronic texts accompanied by auditory signals that are programmed to occur at predetermined intervals throughout the day. She is currently the Principal Investigator on a 5-year study funded by the American Cancer Society to investigate real-time decision-making processes pertaining to physical activity using EMA. She is also the Principal Investigator on a project funded by the Active Living Research program of the Robert Wood Johnson Foundation to examine the effects of the built environment on children’s physical activity contexts.
Any relevant financial relationships? Yes

Name of Organization Clinical/Research Area Type of relationship
Dairy Council of California Program Evaluation Independent Contractor (contracted research and clinical trials)

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.